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Penile implant in Utah: what insurers pay

Posted commercial rates at 15 Utah hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 54405

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$18,3640.9×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$18,3640.9×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$18,3640.9×12026-08-05
Intermountain Health Logan Regional Hospital Logan$21,7981.0×22026-08-05
Intermountain Health Utah Valley Hospital Provo$22,7321.1×32026-08-05
Lds Hospital Salt Lake City$22,7321.1×32026-08-05
Intermountain Health Park City Hospital Park City$22,7321.1×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$22,7321.1×12026-08-05
Intermountain Medical Center Murray$24,9521.2×22026-08-05
Orem Community Hospital Orem$24,9521.2×22026-08-05
Intermountain Health Alta View Hospital Sandy$24,9521.2×22026-08-05
Intermountain Health Riverton Hospital Riverton$24,9521.2×22026-08-05
Intermountain Health Layton Hospital Layton$24,9521.2×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$24,9521.2×22026-08-05
American Fork Hospital American Fork$27,1721.3×22026-08-05

Questions

How much do insurers pay for penile implant in Utah?

15 Utah hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 15 hospitals is $22,732, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.